Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.37 / $2,190.00 / $8,294.00	Facility		$345.37	$2,190.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $361.70 / $556.22	Professional		$125.70	$361.70	$556.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.80 / $345.70 / $629.69	Professional		$126.80	$345.70	$629.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.86 / $143.86 / $293.47	Professional		$143.86	$143.86	$293.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.22 / $610.00 / $1,572.88	Facility		$219.22	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.87 / $361.56 / $741.26	Professional		$136.87	$361.56	$741.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.30 / $518.71 / $770.45	Professional		$396.30	$518.71	$770.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.02 / $407.86 / $767.58	Facility		$146.02	$407.86	$767.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $534.00 / $623.67 / $827.00	Professional		$534.00	$623.67	$827.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $130.61 / $165.82 / $305.06	Facility		$130.61	$165.82	$305.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $427.93 / $545.51 / $994.72	Professional		$427.93	$545.51	$994.72
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.50 / $518.71 / $835.71	Professional		$342.50	$518.71	$835.71